Individual
DR. LESLIE TYRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
150 BERGEN ST, NJ TRAUMA CENTER, UNIVERSITY HOSPITAL, MEZZ, M-234, NEWARK, NJ 07103-2496
(973) 972-0559
Mailing address
150 BERGEN ST, NJ TRAUMA CENTER, UNIVERSITY HOSPITAL, MEZZ, M-234, NEWARK, NJ 07103-2496
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA08636200
NJ
2086S0102X
Surgical Critical Care Physician
233786
NY
Other
Enumeration date
10/22/2009
Last updated
09/28/2023
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